Constance Collins 2023 Fee Expenditure and Compensation Forms any vi ivna�tu 1
vtui.n
REC
Lobbyist Fee Expenditure and Compensation.Form
D
City:Code Section'2-485
Expenditure report for period Of:,1/1/2022 through 12/31/2022
JAN 9 2023
A statement shall be'filed even'if there have been no expenditures or compensation during the reporting' OF
�. . �FF10E OF BEACHTMHEMi7v
This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office, 1700 Convention Center�rive9LERK
Miami Beach,FL 33139 by February'28th.A:fine of$50.00 per day,per issue,shall be assessed for statements filed after the due
date. If you require any assistance,please contact this office at 305,673.7411 or atcityclerk@miamibeachfl.gov.
Lob:bylst
Constance Collins
Principal . Lotus House(Constance Collins)
Issue One penny food and beverage tax;resources&support for homelessness and domestic violence victims
PLEASE COMPLETE T E SECTION BELOW
Detail Compensation Received:
CATEGORIES OF EXPENDITURES
Food and Beverage:
Entertainment:
Research: ?
Communications:
Media Advertising:
Publications:
Travel: . .
Lodging:
Special Events:
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:
OATH
State of Florida
County of Miami-Dade
I,the undersigned lobbyist,do hereby depose under oath and affirm that the information disclosed h reivagd anyattachment.
hereto are true and correct.
Lob.yt\Signa:ture
SIGNATURE AND STAMP OF NOTARY:
Angela Verseane
U Py pf✓
comm.:FIH 329243
_Produced ID ...kl•f Expires:November 3,2026
Form of idenlitication gees Notal' Public-Stale of Florida
;,,,,..+ �' Signature -ublie otary—State of Florida
/ Sworn to and subscribed before me
Personally known This day of ,20_
Qv
i ity UI tvudrnt oca4n
Lobbyist Fee Expenditure and Compensation Form
City Code Section 2-485 49,E5c fv
ED
JAN 1 9 202
Expenditure report for period of:1/1/2022 through 12/31/2022 c�c/ 3
A statement.shall be filed even if there have been no expenditures or compensation during the reporting perRiggP/ o�Mq ,j/ � ,8
ACH
This statement is to be signed,notarized and returned to the City of Miami Beach,City Clerk's Office,1700 Convention Center Drive,/TyCLERK
Miami Beach,FL 33139 by February 28th.A.fine of$50.00 per day,per issue,shall be assessed for statements filed after the due
date,If you require any assistance,please contact this office at 305.673.7411 or atcityclerkCimiamibeachfl.gov.
Lob ►yist, °� Constance Collins
Principal Lotus Endowment Fund, Inc.&Lotus House.(Constance Collins)
Issue& One penny food and beverage tax;resources&support for homelessness°and domestic violence victims
PLEASE COMPLETE THE SECTION BELOW
Detail Compensation Received: ..
CATEGORIES OF EXPENDITURES
Food and Beverage: i
Entertainment:
Research:
)
Communications: ..... S
Media Advertising:
Publications: ..
Travel:
Lodging:
Special Events:.
CHECK BOX IF YOU NO LONGER REPRESENT THE PRINCIPAL FOR THE ABOVE ISSUE
DATE REPRESENTATION ENDED:.
OATH
State of Florida
County of Miami-Dade
1,the undersigned lobbyist,do hereby depose under oath and affirm that the informationd" losed=herein ap ;any attachment
hereto are true and correct. ' '
,,,,,�,��,�,,, Angela 1
t up®
Corm.:Flli 329243
SIGNATURE AND STAMP OF NOTARY: Lob y s t ature
`Expires:November 3,2026
Notary Public-Slate of Florida
Produced ID
Form of Identification Signature of Pu otary—State of Florida
Sworn to and subscribed before me
_Personally known This day of ,20_